OrganizationActive
412th Medgrp-Edwards
NPI 1548673163 · Military/U.S. Coast Guard Pharmacy · Edwards Afb, CA
Provider details
- NPI number
- 1548673163
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Parent organization
- 412th Medgrp-Edwards
- Authorized official
- Hector Morales, Chief Dha Pass
Practice location
30 Nightingale Rd
Bldg 5525
Edwards Afb, CA 93524-1730
Phone: (661) 277-2052
Fax: (661) 277-8284
Mailing address
95 Th Medical Group Sgsr
Edwards Afb, CA 93524-0001
Registry dates
- Enumerated
- 2014-06-11
- Last updated
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.